Aspects of Orthodontic-Prosthetic Rehabilitation of Dentofacial Anomalies

Skeletal class III malocclusion is one of the most difficult dentofacial anomalies, characterized by deviation in the development of the mandible and maxilla in the sagittal plane, where the mandible is dominant in relation to the maxilla. In patients with class III malocclusion, anomalies in the de...

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Bibliographic Details
Published in:Journal of prosthodontics 2014-04, Vol.23 (3), p.236-245
Main Authors: Ajdukovic, Zorica, Janosevic, Mirjana, Filipovic, Gordana, Arsic, Stojanka, Janosevic, Predrag, Petrovic, Nenad
Format: Article
Language:English
Subjects:
Cephalometry - methods
Class III malocclusion
Deglutition - physiology
Dental Prosthesis Design
Dentistry
Dentofacial Deformities - therapy
Denture, Partial, Fixed
Eating - physiology
Esthetics, Dental
Humans
Male
Malocclusion, Angle Class III - therapy
Middle Aged
orthodontic-prosthetic rehabilitation
Orthodontics
Orthodontics, Corrective - methods
Overbite - therapy
Patient Care Planning
Rehabilitation
Speech - physiology
Temporomandibular Joint Disorders - therapy
Tooth Loss - rehabilitation
Treatment Outcome
Vertical Dimension
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Summary:Skeletal class III malocclusion is one of the most difficult dentofacial anomalies, characterized by deviation in the development of the mandible and maxilla in the sagittal plane, where the mandible is dominant in relation to the maxilla. In patients with class III malocclusion, anomalies in the dentoalveolar level and esthetic discrepancies are also frequent. The etiology of class III malocclusion is multifactorial due to the interaction of hereditary and environmental factors. Rehabilitation and treatment of malocclusion is one of the major goals of modern dentistry. This article presents the orthodontic‐prosthetic therapy and rehabilitation of a 45‐year‐old patient with an abnormal occlusal vertical dimension and a skeletal class III malocclusion. The patient came to the clinic complaining about degraded esthetics and disordered functions of the orofacial region (functions of eating, swallowing, speech) and also pain in the temporomandibular joint. After the diagnosis was made, the patient was first referred to orthodontic treatment with fixed orthodontic appliances (self‐ligating brackets system Rot 0.22). Upon completion of the orthodontic treatment, the patient was sent for further prosthetic treatment. Fixed prosthetic restorations were made in the upper and lower jaw, thus achieving a satisfactory result in terms of esthetics and function of the stomatognathic system.
ISSN:1059-941X
1532-849X
DOI:10.1111/jopr.12091